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MANAGEMENT OF TERM BREECH PRESENTATION IN PRIMIGRAVIDAE
Author(s) -
Jaffa A. J.,
Peyser M. R.,
Ballas S.,
Toaff R.
Publication year - 1981
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1981.tb01272.x
Subject(s) - medicine , breech presentation , caesarean section , vaginal delivery , obstetrics , fetal distress , pelvimetry , apgar score , fetal head , umbilical cord , breech delivery , presentation (obstetrics) , elective caesarean section , pregnancy , fetus , surgery , pelvis , genetics , anatomy , biology
Summary In a prospective study of 321 breech presentations in primigravidae at term, 260 (81 per cent) were delivered vaginally with no perinatal mortality. A single case of fetal injury (Erb's palsy) was recorded and only one infant had an Apgar score of under 7 at 5 minutes. In 17 patients selected for vaginal delivery, caesarean section was necessary for abnormal uterine activity, prolapse of the umbilical cord of fetal distress. Elective caesarean section was performed if routine x‐ray pelvimetry showed values below defined limits at the brim, midcavity, or outlet or if the fetal head was extended.